Definition

A navicular fracture is a fracture of the navicular bone of the foot, a bone on the top of the midfoot. Athletes are particularly susceptible to fractures of the navicular bone. (There is also a navicular bone in the wrist.)

Navicular Bone of the Foot

Causes

A navicular fracture can be caused by a fall, severe twist, or direct trauma to the navicular bone. It can also be caused by repeated stress to the foot, creating a
stress fracture
unrelated to acute trauma.

Risk Factors

Factors that may increase your chance of a navicular fracture include:

Treatment

Talk with your doctor about the best treatment plan for you. Treatment options include:

Nonsurgical Treatment

Most cases of navicular fracture respond well to being placed in a cast that holds the bones in place. You will need to use crutches to help you walk. Once the bone has healed, your doctor will recommend a rehabilitation program that will allow you to eventually return to your normal activities.

Surgery

In rare cases of severe fracture, you may need surgery to realign the bone. This involves placing a metal plate and/or screws or pins to hold the bone in place. You will need to wear a cast or splint after the surgery. You will also need to use crutches to help you walk.

Prevention

To help reduce your chance of a navicular fracture (or other foot fractures):

Wear properly fitting, supportive shoes appropriate for the type of activity you are doing

References:

Stress fractures of the foot and ankle. American Academy of Orthopaedic Surgeons Ortho Info website. Available at:
http://orthoinfo.aaos.org/topic.cfm?topic=A00379.
Updated July 2009. Accessed August 21, 2014.

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